Invasive ntshav ntsuas cov txheej txheem
Cov txheej txheem no ntsuas arterial siab ncaj qha los ntawm kev ntxig ib rab koob cannula rau hauv cov hlab ntsha uas tsim nyog.Lub catheter yuav tsum tau txuas nrog lub cev tsis muaj kuab lom, muaj kua dej txuas nrog lub ntsuas hluav taws xob ntawm tus neeg mob.
Txhawm rau ntsuas cov ntshav siab kom raug siv lub tshuab nqus ntshav, cov kws tshaj lij tau tshaj tawm txoj hauv kev 5-kauj ruam uas pab hauv (1) xaiv qhov chaw ntxig, (2) xaiv hom catheter arterial, (3) tso cov hlab ntsha catheter, (4) qib thiab xoom sensors, thiab (5) xyuas qhov zoo ntawm BP waveform.
Thaum lub sijhawm ua haujlwm, nws yog qhov tsim nyog los tiv thaiv huab cua los ntawm kev nkag mus thiab ua rau embolism;Ua tib zoo xaiv cov hlab ntsha uas tsim nyog thiab puncture sheath / radial artery sheath kuj yuav tsum tau.Kev kho mob tom qab tau txais txiaj ntsig zoo los tiv thaiv qhov tshwm sim ntawm cov teeb meem yog qhov tseem ceeb heev, cov teeb meem no suav nrog: (1) hematoma, (2) kab mob ntawm qhov chaw, (3) kab mob hauv lub cev (4) arterial thrombosis, (5) Distal ischemia, (6) Cov tawv nqaij hauv zos necrosis, (7) Arterial joint loosening ua rau ntshav poob, thiab lwm yam.
Cov txheej txheem twg tuaj yeem siv los txhim kho kev saib xyuas
1.Tom qab ua tiav catheterization, ua kom daim tawv nqaij ntawm qhov chaw puncture qhuav, huv si thiab tsis muaj oozing ntshav.Hloov 1 zaug txhua hnub thov, muaj los ntshav txhua lub sijhawm hloov tshuaj tua kab mob txhua lub sijhawm.
2.Txhim kho kev soj ntsuam thiab saib xyuas lub cev kub 4 zaug hauv ib hnub.Yog tias tus neeg mob kub taub hau, ua daus no, yuav tsum tau tshawb nrhiav qhov chaw ntawm tus kab mob.Yog tias tsim nyog, cov kab lis kev cai ntawm cov hlab ntsha lossis cov ntshav yog coj los pab kuaj mob, thiab cov tshuaj tua kab mob yuav tsum tau siv kom raug.
3.Lub catheter yuav tsum tsis txhob muab tso rau ntev heev, thiab lub catheter yuav tsum tau muab tshem tawm tam sim ntawd thaum muaj cov tsos mob ntawm tus kab mob.Raws li ib txwm muaj, lub ntsuas ntshav siab yuav tsum tau khaws cia tsis pub dhau 72 teev thiab ntev tshaj plaws rau ib lub lis piam.Yog tias tsim nyog txuas ntxiv mus.qhov chaw ntsuas qhov siab yuav tsum tau hloov.
4.Hloov cov tshuaj heparin diluent txuas cov hlab ntsha txhua hnub.Tiv thaiv intraductal thrombosis.
5. Ua tib zoo saib seb cov xim thiab qhov kub thiab txias ntawm daim tawv nqaij ntawm qhov chaw ntawm cov hlab ntsha yog qhov txawv txav.Yog tias pom muaj kua dej ntxiv, qhov chaw puncture yuav tsum tau rub tawm tam sim ntawd, thiab 50% magnesium sulfate yuav tsum tau ntub dej rau thaj tsam liab thiab o, thiab infrared therapy kuj tuaj yeem irradiated.
6. Los ntshav hauv zos thiab hematoma : (1) thaum lub puncture tsis ua hauj lwm thiab lub koob yog rub tawm, lub cheeb tsam yuav tsum tau them nrog gauze pob thiab dav nplaum daim kab xev nyob rau hauv lub siab.qhov nruab nrab ntawm lub siab hnav khaub ncaws yuav tsum muab tso rau ntawm lub koob taw tes ntawm cov ntshav. lub nkoj, thiab thaj chaw hauv cheeb tsam yuav tsum tau muab tshem tawm tom qab 30 feeb ntawm kev hnav khaub ncaws yog tias tsim nyog.(2) Tom qab kev phais.tus neeg mob tau hais kom tus limps ncaj nraim ntawm qhov kev ua haujlwm.thiab xyuam xim rau kev soj ntsuam hauv zos yog tias tus neeg mob muaj kev ua ub no hauv lub sijhawm luv los tiv thaiv los ntshav.Hematoma tuaj yeem yog 50% magnesium sulfate ntub compress lossis spectral ntsuas hauv zos irradiation koob thiab lub raj tshuaj ntsuam xyuas yuav tsum tau kho kom ruaj khov, tshwj xeeb tshaj yog thaum tus neeg mob ntxhov siab, yuav tsum nruj me ntsis tiv thaiv lawv tus kheej extubation. txuas kom tsis txhob los ntshav tom qab txiav.
7. Distal limb ischemia:
(1) Kev sib koom ua ke ntawm cov hlab ntsha intubated yuav tsum tau lees paub ua ntej kev phais, thiab kev sib tsoo yuav tsum zam yog tias cov hlab ntsha muaj qhov txhab.
(2) Xaiv cov koob txhaj tshuaj tsim nyog, feem ntau yog 14-20g catheter rau cov neeg laus thiab 22-24g catheter rau menyuam yaus.Tsis txhob tuab heev thiab siv lawv ntau zaus.
(3) Ua kom muaj kev ua tau zoo ntawm cov tee kom ntseeg tau tias cov dej ntawm heparin ib txwm saline;Feem ntau, txhua zaus cov ntshav hlab ntsha tau muab rho tawm los ntawm lub raj siab, nws yuav tsum tau muab yaug nrog heparin saline tam sim ntawd kom tsis txhob muaj ntshav txhaws.Nyob rau hauv tus txheej txheem ntawm kev ntsuas siab.Kev sau cov ntshav los yog xoom hloov kho, nws yog ib qho tsim nyog yuav tsum nruj me ntsis tiv thaiv intravascular cua embolism.
(4) Thaum lub siab nkhaus ntawm lub monitor yog qhov txawv txav, qhov ua rau yuav tsum pom.Yog tias muaj cov ntshav txhaws hauv cov kav dej, nws yuav tsum tau muab tshem tawm raws sijhawm.Tsis txhob thawb cov ntshav txhaws kom tiv thaiv arterial embolism.
(5) Ua tib zoo saib cov xim thiab qhov kub thiab txias ntawm daim tawv nqaij distal ntawm sab operative, thiab dynamically saib xyuas cov ntshav ntws ntawm tes los ntawm cov ntshav oxygen saturation ntawm ipsilateral ntiv tes.Extubation yuav tsum tau raws sij hawm thaum qhov txawv txav ntawm cov tsos mob ntawm ischemia xws li daj ntseg ntawm daim tawv nqaij, kub poob, loog loog thiab mob.
(6) Yog tias cov ceg tawv tau kho, tsis txhob qhwv lawv hauv ib lub nplhaib lossis qhwv lawv nruj heev.
(7) Lub sij hawm ntawm txoj hlab ntsha catheterization zoo sib xws nrog thrombosis.Tom qab tus neeg mob txoj kev ua haujlwm tsis zoo, lub catheter yuav tsum tau muab tshem tawm hauv lub sijhawm, feem ntau tsis pub dhau 7 hnub.
Disposable siab transducer
Taw qhia:
Muab kev nyeem ntawv zoo ib yam thiab raug ntawm kev ntsuas ntshav siab thiab cov hlab ntshav
Nta:
●Cov khoom siv xaiv (3cc lossis 30cc) rau ob tus neeg laus / menyuam yaus.
●Nrog ib leeg, ob npaug thiab triple lumen.
●Muaj nrog kaw ntshav sampling system.
●6 connectors thiab ntau yam cables phim feem ntau saib hauv ntiaj teb
●ISO, CE & FDA 510K.
Post lub sij hawm: Aug-03-2022